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Post-traumatic Arthritis of the Wrist

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Post-Traumatic Arthritis

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Abstract

Basic wrist anatomy will be reviewed as a basis for understanding injuries that lead to arthritis. Common injuries causing predictable patterns of degenerative changes at the radio- and ulnocarpal, intercarpal, and distal radioulnar joints are discussed. Included are specific patterns of collapse such as scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC). Established and controversial treatment options for each pattern of degeneration will be briefly reviewed.

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References

  1. Palmer AK, Werner FW, Murphy D, Glisson R. Functional wrist motion: a biomechanical study. J Hand Surg Am. 1985;l0A(I):39–46.

    Article  Google Scholar 

  2. Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH. Green’s operative hand surgery. Philadelphia: Elsevier/Churchill Livingstone. 6th ed; 2011. p. 429–63.

    Google Scholar 

  3. Gelberman RH, Cooney WP, Szabo RM. Carpal instability. J Bone Joint Surg. 2000;82A(4):578–94.

    Article  Google Scholar 

  4. Weiss KE, Rodner CM. Osteoarthritis of the wrist. J Hand Surg. 2007;32A(5):725–46.

    Article  Google Scholar 

  5. Peterson B, Szabo RM. Carpal osteoarthrosis. Hand Clin. 2006;22(2006):517–28.

    Article  PubMed  Google Scholar 

  6. Linscheid RL, Dobyns JH, Beabout JW, Bryan RS. Traumatic instability of the wrist. Diagnosis, classification, and pathomechanics. J Bone Joint Surg Am. 1972;54(8):1612–32.

    Article  CAS  PubMed  Google Scholar 

  7. Berger RA. The anatomy of the ligaments of the wrist and distal radioulnar joints. Clin Orthop Relat Res. 2001;383:32–40.

    Article  Google Scholar 

  8. Wolfe SW, Garcia-Elias M, Kitay A. Carpal instability nondissociative. J Am Acad Orthop Surg. 2012;20(9):575–85. Annotation: this review article defines carpal instability nondissociative with a discussion of clinical presentation, pathophysiology and diagnosis. Subtypes of carpal instability nondissociative are described as well as management principles, both nonoperative and surgical.

    Article  PubMed  Google Scholar 

  9. Lee DJ, Elfar JC. Carpal ligament injuries, pathomechanics, and classification. Hand Clin. 2015;31(3):389–98. Annotation: This articles reviews carpal instability, specifically volar and dorsal intercalated segment instability. Normal wrist mechanics as well as pathological deformities are discussed.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Watson HK, Ballet FL. The SLAC wrist: scapholunate advanced collapse pattern of degenerative arthritis. J Hand Surg Am. 1984;9(3):358–65.

    Article  CAS  PubMed  Google Scholar 

  11. Strauch RJ. Scapholunate advanced collapse and scaphoid nonunion advanced collapse arthritis—update on evaluation and treatment. J Hand Surg Am. 2011;36(4):729–35.

    Article  PubMed  Google Scholar 

  12. Kiefhaber TR. Management of scapholunate advanced collapse pattern of degenerative arthritis of the wrist. J Hand Surg Am. 2009;34(8):1527–30.

    Article  PubMed  Google Scholar 

  13. Cohen MS, Kozin SH. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. J Hand Surg Am. 2001;26(1):94–104.

    Article  CAS  PubMed  Google Scholar 

  14. Mack GR, Bosset MJ, Gelberman R, Yu E. The natural history of scaphoid nonunion. J Bone Joint Surg. 1984;66A(4):504–9.

    Article  Google Scholar 

  15. Ruby LK, Stinson J, Belsky MR. The natural history of scaphoid non-union a review of twenty-five cases. J Bone Joint Surg. 1985;67A(3):428–32.

    Article  Google Scholar 

  16. Malerich MM, Clifford J, Eaton B, Eaton R, Littler JW. Distal scaphoid resection arthroplasty for the treatment of degenerative arthritis secondary to scaphoid nonunion. J Hand Surg. 1999;24(6):1196–205.

    Article  CAS  Google Scholar 

  17. Ruch DS, Papadonikolakis A. Resection of the scaphoid distal pole for symptomatic scaphoid nonunion after failed previous surgical treatment. J Hand Surg Am. 2006;31(4):588–93.

    Article  PubMed  Google Scholar 

  18. Bain GI, Watts AC. The outcome of scaphoid excision and four-corner arthrodesis for advanced carpal collapse at a minimum of ten years. J Hand Surg Am. 2010;35(5):719–25.

    Article  PubMed  Google Scholar 

  19. Hegazy G. Capitolunate arthrodesis for treatment of Scaphoid Nonunion Advanced Collapse (SNAC) wrist arthritis. J Hand Microsurg. 2015;7(1):79–86. Annotation: a retrospective review of twelve patients undergoing capitolunate arthrodesis with headless compression screws for scaphoid nonunion advanced collapse. This study found capitolunate arthrodesis to restore a stable, functional wrist. No level of evidence provided.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Saltzman BM, Frank JM, Slikker W, Fernandez JJ, Cohen MS, Wysocki RW. Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist arthropathy: a systematic review. J Hand Surg Eur Vol. 2015;40(5):450–7. Annotation: A systematic review of seven studies examining clinical outcomes after PRC or S4CF for SLAC/SNAC wrist. Radial deviation and post-operative grip strength were found to be greater after four-corner fusion while PRC had a lower overall complication rate. Level of Evidence III.

    Article  CAS  PubMed  Google Scholar 

  21. Mulford JS, Ceulemans LJ, Nam D, Axelrod TS. Proximal row carpectomy vs four corner fusion for Scapholunate (Slac) or Scaphoid Nonunion advanced Collapse (Snac) wrists: a systematic review of outcomes. J Hand Surg Eur Vol. 2009;34(2):256–63.

    Article  CAS  PubMed  Google Scholar 

  22. Weinstein LP, Berger RA. Analgesic benefit, functional outcome and patient satisfaction after partial wrist denervation. J Hand Surg Am. 2002;27(5):833–9.

    Article  PubMed  Google Scholar 

  23. Ferreres A, Foucher G, Santiago S. Extensive denervation of the wrist. Tech Hand Up Extrem Surg. 2002;6(1):36–41.

    Article  PubMed  Google Scholar 

  24. Simon E, Zemirline A, Richou J, Hu W, Le Nen D. Complete wrist denervation: a retrospective study of 27 cases with a mean follow-up period of 77 months. Chir Main. 2012;31(2102):306–10. Annotation: a retrospective review of 27 complete wrist denervations performed by one surgeon. Stable pain relief was achieved in 89% of patients with a significant improvement in range of motion of the wrist. Six complications were reported with overall satisfaction in a majority of patients. No level of evidence provided.

    Article  CAS  PubMed  Google Scholar 

  25. Hohendorff B, Mühldorfer-Fodor M, Kalb K, Von Schoonhoven J, Prommersberger KJ. Long-term results following denervation of the wrist. [Article in German]. Unfallchirurg. 2012;115(4):343–52. Annotation: A retrospective review of 61 total wrist denervations with an average follow up of ten years. They conclude that total wrist denervation is an option for the chronically painful wrist with long-term satisfaction. No level of evidence provided.

    Article  CAS  PubMed  Google Scholar 

  26. Schweizer A, von Känel O, Kammer E, Meuli-Simmen C. Long-term follow-up evaluation of denervation of the wrist. J Hand Surg Am. 2006;31A(4):559–64.

    Article  Google Scholar 

  27. Hastings H, Weiss AC, Quenzer D, Wiedeman GP, Hanington KR, Strickland JW. Arthrodesis of the wrist for post-traumatic disorders. J Bone Joint Surg. 1996;78-A(6):897–902.

    Article  Google Scholar 

  28. Adey L, Ring D, Jupiter JB. Health status after total wrist arthrodesis for posttraumatic arthritis. J Hand Surg. 2005;30A(5):932–6.

    Article  Google Scholar 

  29. De Smet L, Degreef I, Truyen J, Robijns F. Outcome of two salvage procedures for posttraumatic osteoarthritis of the wrist: arthrodesis or proximal row carpectomy. Acta Chir Belg. 2005;105(6):626–30.

    Article  PubMed  Google Scholar 

  30. Garcia-Elias M, Lluch A, Ferreres A, Papini-Zorli I, Rahimtoola ZO. Treatment of radiocarpal degenerative osteoarthritis by radioscapholunate arthrodesis and distal scaphoidectomy. J Hand Surg Am. 2005;30(1):8–15.

    Article  PubMed  Google Scholar 

  31. Garcia-Elias M. Excisional arthroplasty for Scaphotrapeziotrapezoidal osteoarthritis. J Hand Surg Am. 2011;36(3):516–20.

    Article  PubMed  Google Scholar 

  32. Crook T, Warwick D. Avoiding fusion in wrist arthritis. J Bone Joint Surg. 2011:1–5.

    Google Scholar 

  33. Siegel JM, Ruby LK. Critical look at intercarpal arthrodesis: review of the literature. J Hand Surg Am. 1996;21(4):717–23.

    Article  CAS  PubMed  Google Scholar 

  34. Pequignot JP, D'asnieres De Veigy L, Allieu Y. Arthroplasty for Scaphotrapeziotrapezoidal arthrosis using a pyrolytic carbon implant. Preliminary results. [Article in French]. Chir Main. 2005;24(3–4):148–52.

    Article  CAS  PubMed  Google Scholar 

  35. Viegas SF, Patterson RM, Peterson PD, Pogue DJ, Jenkins DK, Sweo TD, et al. Ulnar sided perilunate instability: an anatomic and biomechanical study. J Hand Surg Am. 1990;15(2):268–78.

    Article  CAS  PubMed  Google Scholar 

  36. Kirschenbaum D, Coyle MP, Leddy JP, New Brunswick NJ. Chronic lunotriquetral instability: diagnosis and treatment. J Hand Surg Am. 1993;18(6):1107–12.

    Article  CAS  PubMed  Google Scholar 

  37. Shin AY, Weinstein LP, Berger RA, Bishop AT. Treatment of isolated injuries of the lunotriquetral ligament. A comparison of arthrodesis, ligament reconstruction and ligament repair. J Bone Joint Surg Br. 2001;83(7):1023–8.

    Article  CAS  PubMed  Google Scholar 

  38. Lamey DM, Fernandez DL. Results of the modified Sauve-Kapandji procedure in the treatment of chronic posttraumatic derangement of the distal radioulnar joint. J Bone Joint Surg Am. 1998;80(12):1758–69.

    Article  CAS  PubMed  Google Scholar 

  39. Bowers WH. Distal radioulnar joint arthroplasty: the hemiresection-interposition technique. J Hand Surg Am. 1985;10(2):169–78.

    Article  CAS  PubMed  Google Scholar 

  40. Watson HK, Ryu J, Burgess RC. Matched distal ulnar resection. J Hand Surg Am. 1986;11(6):812–7.

    Article  CAS  PubMed  Google Scholar 

  41. Santos C, Pereira A, Sousa M, Trigeuiros M, Silva C. Indications for distal radioulnar arthroplasty: report on three clinical cases. Rev Bras Ortop. 2015;46(3):321–4. Annotation: A report of three cases in which a metallic prosthesis was used to replace the DRUJ. At one year follow up all three patients had improved pain and range of motion. No level of evidence provided.

    Article  PubMed  PubMed Central  Google Scholar 

  42. George MS, Kiefhaber TR, Stern PJ. The Sauve–Kapandji procedure and the Darrach procedure for distal radio–ulnar joint dysfunction after Colles’ fracture. J Hand Surg Br. 2004;29(6):608–13.

    Article  CAS  PubMed  Google Scholar 

  43. Dargai F, Hoel G, Safieddine M, Payet E, Leonard R, Jaffarbanjee Z, et al. Tenyear radiological and clinical outcomes of capitolunate arthrodesis with scaphoid and triquetrum excision for advanced degenerative arthritis in the wrist: single-center, retrospective case series with 10patients. Hand Surg Rehabil. 2020;39(1):41–7. Epub 2019 Nov 1.

    Article  CAS  PubMed  Google Scholar 

  44. Aita MA, Nakano EK, Schaffhausser HL, Fukushima WY, Fujiki EN. Randomized clinical trial between proximal row carpectomy and the four-corner fusion for patients with stage II SNAC. Rev Bras Ortop. 2016;51(5):574–582. eCollection 2016 Sep-Oct.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Williams JB, Weiner H, Tyser AR. Long-term outcome and secondary operations after proximal row carpectomy or four-corner arthrodesis. J Wrist Surg. 2018;7(1):51–6. Epub 2017 Jul 27.

    Article  PubMed  Google Scholar 

  46. Daar DA, Shah A, Mirrer JT, Thanik V, Hacquebord J. Proximal row carpectomy versus four-corner arthrodesis for the treatment of SLAC/SNAC wrist: a cost-utility analysis. Plast Reconstr Surg. 2019;143:1432.

    Article  CAS  PubMed  Google Scholar 

  47. Kazmers NH, Stephens AR, Presson AP, Xu Y, Feller RJ, Tyser AR. Comparison of direct surgical costs for proximal row carpectomy and four-corner arthrodesis. J Wrist Surg. 2019;8(1):66–71. Epub 2018 Nov 16.

    Article  PubMed  Google Scholar 

  48. Abdelaziz AM, Aldahshan W, El-Sherief FAH, Wahd YESH, Soliman HAG. Posterior interosseous neurectomy alternative for treating chronic wrist pain. J Wrist Surg. 2019;8(3):198–201. Epub 2019 Jan 29.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Picart B, Laborie C, Hulet C, Malherbe M. Total wrist denervation: retrospective study of 39 wrists with 56 months' follow-up. Orthop Traumatol Surg Res. 2019;105(8):1607–10. Epub 2019 Sep 5.

    Article  PubMed  Google Scholar 

  50. Catalano LW 3rd, Ryan DJ, Barron OA, Glickel SZ. Surgical management of Scaphotrapeziotrapezoid arthritis. J Am Acad Orthop Surg. 2020;28(6):221–8.

    Article  PubMed  Google Scholar 

  51. Luchetti R, Atzei A, Cozzolino R. Arthroscopic distal scaphoid resection for Scapho-Trapezium-trapezoid arthritis. Hand (N Y). 2019:1558944719864451.

    Google Scholar 

  52. Faucher GK, Zimmerman RM, Zimmerman NB. Instability and arthritis of the distal radioulnar joint: a critical analysis review. JBJS Rev. 2016;4(12):01874474-201612000-00001.

    Article  Google Scholar 

  53. Nawijn F, Verhiel SHWL, Jupiter JB, Chen NC. Hemiresection interposition arthroplasty of the distal radioulnar joint: a long-term outcome study. Hand (N Y). 2019;13:1558944719873430.

    Google Scholar 

  54. Bellevue KD, Thayer MK, Pouliot M, Huang JI, Hanel DP. Complications of semiconstrained distal radioulnar joint arthroplasty. J Hand Surg Am. 2018;43(6):566.e1–9.

    Article  Google Scholar 

  55. DeGeorge BR Jr, Berger RA, Shin AY. Constrained implant arthroplasty for distal radioulnar joint arthrosis: evaluation and management of soft tissue complications. J Hand Surg Am. 2019;44(7):614.e1–614.e9. Epub 2018 Oct 18.

    Article  Google Scholar 

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Authors and Affiliations

  1. Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Sophia A. Strike

  2. Brigham and Women’s Hospital, Boston, MA, USA

    Philip E. Blazar

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  1. Sophia A. Strike
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  2. Philip E. Blazar
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Correspondence to Sophia A. Strike .

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Editors and Affiliations

  1. Hip & Knee Reconstruction Surgery Johns Hopkins, Department of Orthopaedic Surgery, Columbia, MD, USA

    Savyasachi C. Thakkar

  2. Department of Orthopaedic Surgery Adult Trauma Service, The Johns Hopkins Medical Institution, Baltimore, MD, USA

    Erik A. Hasenboehler

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Strike, S.A., Blazar, P.E. (2021). Post-traumatic Arthritis of the Wrist. In: Thakkar, S.C., Hasenboehler, E.A. (eds) Post-Traumatic Arthritis. Springer, Cham. https://doi.org/10.1007/978-3-030-50413-7_6

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  • DOI: https://doi.org/10.1007/978-3-030-50413-7_6

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-50413-7

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